​Patients and Families

At PruittHealth, we are committed to providing the highest quality health care while fostering relationships grounded in respect, open communication and professionalism with our patients, residents, clients and communities.​

​Health Care Professionals

Our goal is to be innovators in a seamless and superior health delivery system in the communities we serve. At PruittHealth, we are committed to upholding a culture that continuously fosters caring, fairness and respect.​

Medicare And Skilled Nursing And Rehabilitation Center

Qualifying for Medicare Coverage in a Skilled Nursing and Rehabilitation Center?

Beneficiary must have a three day qualifying hospital stay.

Admitted to the healthcare center within 30 days of a hospital discharge.

Have unused Medicare Part A days.

Have a diagnosis covered by Medicare.

Medicare Coverage in a Skilled Nursing and Rehabilitation Center?You
must receive the services from a Medicare certified skilled nursing
facility. You are given 100 days of Medicare Part A coverage during a
benefit period. The day you start receiving hospital or skilled nursing
facility benefits is considered the first day of your benefit period.
The first 20 Medicare days are paid 100% by Medicare Part A. Medicare
will pay for all Medicare related charges during the last 80 days of
your benefit period except for the co-insurance amount.

It is also
important to note that you are not limited to a certain number of
benefit periods, but you will need to have another three day hospital
stay and continue to meet Medicare requirements in order to receive
another 100 day Medicare benefit period.

Will I Remain on Medicare Part A for the Full 100 Days?A
patient will remain on Medicare, Part A as long as it is medically
necessary. If at any point during the patients stay their health
improves and their diagnosis no longer supports Medicare coverage, they
will either be discharged or change payor types.

How Do I Qualify for a New 100 Days of Coverage? The
beneficiary must go 60 consecutive days without receiving skilled care.
After the sixty day period, the beneficiary qualifies for another 100
days of care if they meet the pre-mentioned criteria.

What is Co-insurance? Co-insurance
is also referred to as percentage participation. When your initial 20
days are up under Medicare, your co-insurance will help you to pay for
the services you are receiving that are not being covered through
Medicare. There are typically three sources of co-insurance:

Medicaid

Private Insurance Company

The Patient

The patient is ultimately responsible for payment of co-insurance.

What Services Does Medicare Part B Pay for? Medicare
Part B pays for the following services when the patient is no longer covered by Medicare Part A:

Physical Therapy

Speech Therapy

Occupational Therapy

Additionally,
Medicare Part B covers a number of medical services not covered by Part
A, if they are medically necessary. There is a 20% co-insurance amount
for which Medicare Part B does not pay.

Follow Us

Stay Connected

PruittHealth is an Equal Employment Opportunity employer and does not discriminate in its
personnel practices against its partners or qualified applicants for employment based on
race, color, religion, sex, national origin or because he or she is an individual with a
disability or a protected veteran.